Provider Demographics
NPI:1386955300
Name:WERNER, RINDA ELIZABETH (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:RINDA
Middle Name:ELIZABETH
Last Name:WERNER
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MISS
Other - First Name:RINDA
Other - Middle Name:ELIZABETH
Other - Last Name:BOEHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5911 PRINTWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-3361
Mailing Address - Country:US
Mailing Address - Phone:858-750-0571
Mailing Address - Fax:
Practice Address - Street 1:3300 BEAR VALLEY PKWY S
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-7636
Practice Address - Country:US
Practice Address - Phone:760-291-6061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 5003235Z00000X
CASP22771235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist